Provider Demographics
NPI:1396717468
Name:FLEWWELLING, ANDREW S (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:S
Last Name:FLEWWELLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 IYANNOUGH RD
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1871
Mailing Address - Country:US
Mailing Address - Phone:888-405-6396
Mailing Address - Fax:415-252-7176
Practice Address - Street 1:1070 IYANNOUGH RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:888-405-6396
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226799207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2115000Medicaid
MAJ29714OtherBLUE CROSS BLUE SHIELD
MAAA52514OtherHARVARD PILGRIM
04-61822OtherEVERCARE
MA494561OtherTUFTS HEALTH PLAN
1396717468OtherBCBS
A3962201Medicare PIN
MAOX1242Medicare PIN
MAA39622Medicare PIN
MAAA52514OtherHARVARD PILGRIM